Splenic Cavernous Lymphangioma Mimicking Splenic Hemangioma

Ho Hyun Kim, Young Hoe Hur, Chan Yong Park, Yang Seok Koh, Jung Chul Kim, Chol Kyoon Cho, Hyun Jong Kim
2009 Journal of the Korean Surgical Society  
Lymphangioma of the spleen is a rare benign neoplasm with clinical manifestations ranging from insignificant incidental findings to large, symptomatic cystic masses requiring surgical intervention. We report a case of splenic cavernous lymphangioma mimicking splenic hemangioma. A 59-year-old woman presented with left upper quadrant pain and epigastric discomfort. Computed tomography showed a 9.5×8 cm high attenuated mass with relatively homogenous enhancement in the spleen. The initial
more » ... n was a splenic hemangioma. The patient underwent splenectomy. Gross pathologic examination revealed a 9.5×6.8×9 cm-sized fairly well circumscribed soft mass. Histologically, the tumor was composed of dilated lymphatic vessels, which contained homogenous eosinophilic material. The Final diagnosis was cavernous lymphangioma of the spleen. Herein, we report a case of splenic cavernous lymphangioma mimicking splenic hemangioma and also review the existing literature. (J Korean Surg Soc 2009;77:434-437)
doi:10.4174/jkss.2009.77.6.434 fatcat:gotsiaq2ovefvn36x43owmdrla